NPIMap

Organization Active NPI

Mattingly Center, Inc

  • Adult Day Care Clinic/Center
  • Louisville, KY
National Provider Identifier
1720199268
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
750034 Issued in KY
Legal business name
MATTINGLY CENTER, INC
Practice address
1520 Baxter Ave
Louisville, KY 40205-1009
Phone
(502) 451-6200
Fax
(502) 451-6861
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barbara Q Henchey
Title
Executive Director
Phone
(502) 451-6200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 750034 KY
Adult Day Care Clinic/Center 261QA0600X 750034 KY Primary
Health Service Clinic/Center 261QH0100X 750034 KY

Addresses

Primary practice location

1520 Baxter Ave
Louisville, KY 40205-1009

Mailing address

1520 Baxter Ave
Louisville, KY 40205-1009
Phone (502) 451-6200

Other identifiers 3

IdentifierTypeStateIssuer
43003565MedicaidKY
7100060340MedicaidKY
33300260MedicaidKY

Other names 1

  • Cerebral Palsy School of Louisville, Inc Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1720199268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 BAXTER AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051009",
            "telephone_number": "502-451-6200",
            "fax_number": "502-451-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 BAXTER AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051009",
            "telephone_number": "502-451-6200",
            "fax_number": "502-451-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTINGLY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "HENCHEY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-451-6200"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "KY",
            "license": "750034",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KY",
            "license": "750034",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "KY",
            "license": "750034",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43003565",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100060340",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33300260",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cerebral Palsy School of Louisville, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.